ISS 2017 Program


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PC03: Set up for Success! Trials and Tribulations of Wheelchair Setup and Delivery

In this hands-on workshop we will explore the intricacies of final seating and mobility fitting and delivery. We will discuss aspects of the final fitting including wheelchair configuration, seating and positioning selection and set up, and the importance of fine-tuning available adjustments for function and propulsion. Each small group break out will have the opportunity to adjust and fit a unique seating and mobility system to a member of the group. We will discuss the choices and clinical rationale behind those decisions and examine different service delivery models that can be used.

From taking the chair out of the box, to adjusting components and seating, the attendees will have a chance to get their hands on the tools of the trade. They will be expected to made critical frame adjustments such as axle position, back height and angle, seat to floor height. Furthermore, they will be asked to make appropriate cushion and back selections and appropriately mount those items on their selected mobility device. After optimizing the chair for their selected “client”, they will assess the final configuration for function and propulsion efficiency.

In the second half of the session, the attendees will use the properly configured chairs to put their skills to the test. In small groups, we will practice instruction and completion of a variety of wheelchair skills from propulsion to wheelies, and more. We will discuss the importance of these skills in every day life and present strategies for instruction and incorporation into your usual plan of care.

The session will wrap up with a review of the days activities, presentation of case studies, and an active discussion about service delivery models and their impact on client satisfaction and functional success.

This session is supported by a company with reported interest in the sale of Assistive Technology products. The content has been reviewed by ISS personnel and determined to be appropriate for continuing education purposes.


Learning Objectives:



Tina L Roesler, PT, MS, ABDA
Motion Composites
St Roch De l'Achigan, Quebec

Tina Roesler is a PT with over 20 years of experience in Seating and Wheeled Mobility. She has presented at a variety of symposiums including previous ISS, APTA, ATSA, Nordic Seating Sympoisum, RESNA, and Posture and Mobility. She is currently the head of International Development for Motion Composites. A manufacturer of ultralight weight carbon and aluminum wheelchairs.

Alli Hyde, MS.OT
Motion Composites
Sait-Roch-de-l'Achigan, Quebec

Jane E Fontein, OT
Consultant Dynamic Health Care Solutions and Motion Composites
Vancouver, British Columbia

Jane Fontein, has been an Occupational Therapist for more than 30 years most of which have been in the seating and mobility field. Jane is currently self employed and is working as an Independent Manufacturer Educator. She has 2 contracts one with Dynamic Health Care Solutions and the other with Motion Composites, both are Canadian Manufacturers.

Kendra Betz, MSPT, ATP
Veterans Health Administration
Littleton, Colorado
United States

Carmen P. Digiovine, PhD, ATP/SMS, RET
The Ohio State University
Columbus, Ohio
United States

Carmen P. DiGiovine is a Rehabilitation Engineer and is currently a Clinical Associate Professor in the Occupational Therapy Division and the Biomedical Engineering Department at The Ohio State University. He is also the Director of Rehabilitation Science and Technology for the Assistive Technology Center at The Ohio State University Wexner Medical Center. He has presented at national and international conferences for the past 20 years, and regularly teaches a courses at The Ohio State University.



    1. Cowan, R., Nash, M., Collinger, J., Koontz, A., & Boninger, M. (2009). Impact of Surface Type, Wheelchair Weight, and Axle Position on Wheelchair Propulsion by Novice Older Adults. Archives of Physical Medicine and Rehabilitation. 90(7), 1076-1083.
    2. DiGiovine, C., Rosen, L., Berner, T., Betz, K., Roesler, T., & Schmeler, M. (2012). RESNA Position on the Application of Ultralight Manual Wheelchairs. RESNA Position Paper.
    3. Marchiori, C., Bensmail, D., Gagnon, D., & Pradon, D. (2015). Manual wheelchair satisfaction among long-term users and caregivers: A French study. Journal of Rehabilitation Research and Development. 52(2), 181-191.
    4. Medola, F. O., Elui, V. M., Santana, C. D., & Fortulan, C. A. (2014). Aspects of Manual Wheelchair Configuration Affecting Mobility: A Review. J Phys Ther Sci Journal of Physical Therapy Science, 26(2), 313-318.
    5. Rice, L. A., Smith, I., Kelleher, A. R., Greenwald, K., & Boninger, M. L. (2014). Impact of a Wheelchair Education Protocol Based on Practice Guidelines for Preservation of Upper-Limb Function: A Randomized Trial. Archives of Physical Medicine and Rehabilitation, 95(1).
    6. Rosenblum, N. D., Kluijtmans, M., & Cate, O. T. (2016). Professional Identity Formation and the Clinician - Scientist. Academic Medicine, 1.
    7. Smith, E. M., Sakakibara, B. M., & Miller, W.C. (2014). A Review of Factors Influencing Participation in Social and Community Activities for Wheelchair Users. Disability Rehabilitation Assistive Technology.
    8. Kirby, R. L., Worobey, L., Cowan, R., Pedersen, J., Heinemann, A., Dyson-Hudson, T., Shea, M., Mary Shea, Smith, C., Rushton, P., & Boninger, M. (2016). Wheelchair Skills Capacity and Peformance of Manual Wheelchair Users with Spinal Cord Injury. Archives of Physical Medicine and Rehabiltiation.
    9. Sakakibara, B., Miller, W., Souza, M., Nkolova, V., & Best, K. (2013). Wheelchair skills training to improve confidence with using a manual wheelchair among older adults: a pilot study. Archives of Physical Medicine and Rehabilitation.

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Updated | 11.08.2016      Facebook logo  Twitter
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